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医学专业最后一年的学生和实习生对从事重症医学职业的看法。

Perceptions of final-year medical students and interns toward pursuing a career in critical care medicine.

作者信息

Ageel Mohammed

机构信息

College of Medicine, Jazan University, Jazan, Saudi Arabia.

出版信息

Front Med (Lausanne). 2025 Jan 10;11:1502997. doi: 10.3389/fmed.2024.1502997. eCollection 2024.

Abstract

BACKGROUND

Critical care medicine (CCM) faces challenges in attracting new physicians due to its demanding nature. Understanding medical students' and interns' perceptions of CCM is essential to address physician shortages and improve medical training.

OBJECTIVE

To evaluate the factors influencing specialty selection and explore perceptions of final-year medical students and interns toward CCM at Jazan University.

METHODS

A cross-sectional survey using convenience sampling was conducted. Participants completed questionnaire assessing factors influencing career choice and perceptions of CCM. Chi-squared tests analyzed the associations between demographic variables and perceptions.

RESULTS

The study included 165 medical students (80% interns, 20% final-year students), primarily male (56.36%) and single (90.91%), with a mean age of 24.56 ± 1.46 years. The most influential career factors were job security (11.65%), enthusiasm/commitment (10.36%), and acceptable working hours (10.36%). Most students (81.82%) found CCM intellectually challenging, while 76.36% recognized its financial benefits. However, only 29.09% were considering a career in CCM, with concerns about work-life balance (34.54%) and family time (32.73%). Interns were more likely than final-year students to view limited working hours positively ( = 0.046), perceive greater colleague prestige ( = 0.035), expect private practice opportunities ( = 0.004), anticipate higher salaries ( < 0.001), and acknowledge the shortage of staff in CCM ( = 0.009).

CONCLUSION

There is a tension between the intellectual and financial benefits of CCM and its lifestyle demands. While students recognize its rewards, concerns about work-life balance and staffing challenges discourage many from pursuing the specialty. Tailored career counseling, mentorship, and addressing lifestyle concerns in medical curricula may improve interest in CCM.

摘要

背景

重症医学(CCM)因其高要求的性质,在吸引新医生方面面临挑战。了解医学生和实习生对重症医学的看法对于解决医生短缺问题和改善医学培训至关重要。

目的

评估影响专业选择的因素,并探讨吉赞大学最后一年医学生和实习生对重症医学的看法。

方法

采用便利抽样进行横断面调查。参与者完成了评估影响职业选择因素和对重症医学看法的问卷。卡方检验分析了人口统计学变量与看法之间的关联。

结果

该研究纳入了165名医学生(80%为实习生,20%为最后一年学生),主要为男性(56.36%)且单身(90.91%),平均年龄为24.56±1.46岁。最具影响力的职业因素是工作保障(11.65%)、热情/投入(10.36%)和可接受的工作时间(10.36%)。大多数学生(81.82%)认为重症医学在智力上具有挑战性,而76.36%认识到其经济利益。然而,只有29.09%的人考虑从事重症医学职业,他们担心工作与生活的平衡(34.54%)和家庭时间(32.73%)。实习生比最后一年学生更有可能积极看待有限的工作时间(P = 0.046),认为同事声望更高(P = 0.035),期望有私人执业机会(P = 0.004),预期更高的薪水(P < 0.001),并承认重症医学人员短缺(P = 0.009)。

结论

重症医学的智力和经济利益与其生活方式要求之间存在矛盾。虽然学生认识到其回报,但对工作与生活平衡和人员配备挑战的担忧使许多人不愿从事该专业。量身定制的职业咨询、指导以及在医学课程中解决生活方式问题可能会提高对重症医学的兴趣。

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